Haemophilus urethritis in males: A series of 30 cases
Por:
Vives, A, da Silva, GVM, Alonso-Tarres, C, Suarez, JB, Palmisano, F, Cosentino, M
Publicada:
1 jul 2021
Ahead of Print:
1 jul 2021
Resumen:
Introduction and objectives: Pathogens such as Haemophilus spp. have been associated with non-gonococcal urethritis, but their role is unproven. To describe the clinical characteristics and therapeutic outcomes in male patients diagnosed with Haemophilus spp. urethritis.
Methods: We carried out a retrospective study of all patients who presented to our hospital (in either the emergency department or the outpatient clinic) between July 2016 and April 2018 in whom Haemophilus spp. was isolated in the urethral samples. We enrolled 30 men with Haemophilus spp.-positive urethritis, including coinfections with Neisseria gonorrhoeae and Chlamydia trachomatis. Clinical, laboratory, demographic, and behavioral data were obtained by reviewing medical histories.
Results: The mean age of the patients was 36.6 years (range 21-87). Seventeen patients (63%) reported being exclusively heterosexual. Three patients (10%) were HIV infected, all of them with an undetectable viral load. The most common clinical presentation was mucopurulent urethral discharge, in 13 patients (43%). The antibiotic treatment achieved a complete clinical resolution in 73%.
Conclusions: Haemophilus urethritis affected men regardless of their sexual orientation or HIV status. Unprotected oral sex may play a role in its transmission. The limitations of the study preclude verification of the pathogenic role of Haemophilus spp. in acute urethritis, but clinical response after antibiotic treatment suggests that Haemophilus spp. can play such a role. (C) 2020 Asociacion Espanola de Andrologia, Medicina Sexual y Reproductiva. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Vives, A:
Univ Autonoma Barcelona, Sexually Transmitted Infect Dept, Androl Serv, Fundacio Puigvert, Barcelona, Spain
da Silva, GVM:
Univ Fed Rio Grande do Sul UFRGS, Dept Urol & Reconstruct Surg, Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil
Alonso-Tarres, C:
Fundacio Puigvert, Microbiol Lab, Barcelona, Spain
Suarez, JB:
Fundacio Puigvert, Barcelona, Spain
Palmisano, F:
Univ Milan, Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dept Urol, Milan, Italy
Cosentino, M:
Casa Cura Villa Maria, Androl & Urol Dept, Padua, Italy
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